@article{ref1,
title="The aggression observation short form identified episodes not reported on the staff observation aggression scale-revised",
journal="Issues in mental health nursing",
year="2014",
author="Hvidhjelm, Jacob and Sestoft, Dorte and Bjørner, Jakob Bue",
volume="35",
number="6",
pages="464-469",
abstract="The purpose of this study is to evaluate the underreporting of violence and aggression on the Staff Observation Aggression Scale-Revised (SOAS-R) when compared to a simpler assessment: the Aggression Observation Short Form (AOS). During a period of one year, two open and two closed wards gathered data on both the SOAS-R and the AOS for all of their patients. The 22-item SOAS-R is to be filled out after each violent episode. The 3-item AOS is to be filled out during each shift and should also record the absence of violence. The SOAS-R registered 703 incidents and the AOS registered 1,281 incidents. The agreement between the SOAS-R and the AOS was good (kappa = 0.65, 95% CI = 0.62-0.67). Among the 1,281 AOS episodes, 51% were also registered on the SOAS-R. For the 176 AOS episodes with harm, 42% were also registered on the SOAS-R. We found 44% missing registrations on the AOS, primarily for open wards and for patients with short admission lengths. Standard instruments such as the SOAS-R underreport aggressive episodes by 45% or more. Underreporting can be reduced by introducing shorter instruments, but it cannot be completely eliminated.<p /> <p>Language: en</p>",
language="en",
issn="0161-2840",
doi="10.3109/01612840.2013.879359",
url="http://dx.doi.org/10.3109/01612840.2013.879359"
}